Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $34.86 / $147.84	Facility		$18.04	$34.86	$147.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $26.04 / $27.24	Professional		$13.09	$26.04	$27.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $39.57 / $53.98	Facility		$24.43	$39.57	$53.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $16.93 / $27.02	Professional		$10.83	$16.93	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $36.28 / $39.14	Professional		$15.03	$36.28	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $18.89 / $49.80	Facility		$13.11	$18.89	$49.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $18.04 / $24.74	Professional		$15.03	$18.04	$24.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $18.04 / $33.18	Facility		$15.03	$18.04	$33.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $18.89 / $43.59	Facility		$13.11	$18.89	$43.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $18.04 / $24.61	Professional		$15.03	$18.04	$24.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.31 / $46.40 / $62.09	Facility		$29.31	$46.40	$62.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $19.17 / $36.92	Professional		$13.33	$19.17	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.59 / $18.04	Professional		$6.31	$8.59	$18.04